Outpatient physical therapy rehabilitation for a patient status-post vestibular schwannoma resection presenting with gait, vestibular, and balance impairments

A patient post right vestibular schwannoma resection was seen for physical therapy by a student at an outpatient setting for 7 treatment sessions from 6/22/16 to 7/22/16 under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Modified Clinical Test of Sensory Interaction on Balance, vestibulo-ocular and oculomotor exam, Dynamic Gait Index, Activities-specific Balance Confidence Scale, Dizziness Handicap Inventory and a plan of care was established. Main goals for the patient were to improve static and dynamic standing balance, increase independence with functional tasks, and increase activity tolerance. Main interventions used were vestibular rehabilitation including habituation and gaze stability exercises, Gentile’s taxonomy of task to improve balance, functional activities, dual task and task-specific activities. The patient improved activity tolerance, balance, and functional independence. The patient was discharged to home, independent with home exercise program.